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HomeMy WebLinkAbout11-13-07 (2) .....J 15D5bD...J.J....7 REY-1500 EX (06-05) PA Department of Revenue Bureau of Individual Taxes .~. PO BOX.280601 ~ Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL USE ONLY County Code Year INHERITANCE TAX RETURN RESIDENT DECEDENT 2 1 0 7 Ale Number 0759 Date of Birth 186122635 08022007 06111922 DRIPPS VIRGINIA MI A Decedenfs Last Name Suffix Decedenfs First Name (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW [!] 1. Original Retum D 2. Supplemental Retum D 3. Remainder Retum (date of death prior to 12-13-82) D 4. Limited Estate D 4a. Future Interest Comprorrise D 5. Federal Estate Tax Retum Required (date of death after 12-12-82) [K] 6. Decedent Died Testate 0 7. Decedent Maintained a Uvlng Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 0 9. Litigation Proceeds Received D 10 Spousal povm Credll ~date of death D 11. Election to tax under Sec. 9113(A) . between 12-31- 1 and -1-95) (Attach Sch. 0) ~ORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: ame Daytime Telephone Number GEORGE F. DOUGLAS, III 7172436222 Firm Name (If Applicable) SAIDIS, FLOWER & LINDSAY REGISTER O.F WILLS US~QNL Y () cc> (''=n -.J . I , First line of address r) 26 WEST HIGH STREET C.l Second line of address ( - 1 ( City or Post OffIce CARLISLE DATE'FiLED State PA ZIP Code 17013 ~,;... CJ W Correspondent's e-mail address: g d 0 u g I as@sfl-Iaw . com Under penalties of P.6~ury, I declare that I have examined this retum, including accompany,ing schedules and statements, and to the best of my knowled~ and belief, it is true, correct ani:! complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE 11114/0Vf- / I ~~ ~llAlA-- A SS Sandra Gurreri 2468 Cope Drive South, Mechanicsburg, PA 17055 SIGNATURE OF PREPARER OTHER THAN PRE~TIVE c.. ~ George F. Douglas, III AOORESS I I DATE 1/ l"'j ...") 26 West High Street, Carlisle, PA 17013 Side 1 L 1505b01l11117 1505bO...ll...7 ....J ~ l5DSbD1l2111! REV-1500 EX DecedenI'sName: Virginia A. Dripps RECAPITULATION 1. Real Estate (Schedule A).......................................................................................... 1. 2. Stocks and Bonds (Schedule B)............................................................................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C).......... 3. 4. Mortgages & Notes Receivable (Schedule D).......................................................... 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E)................ 5. 6. JoinUy Owned Property (Schedule F) D Separate Billing Requested............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) D Separate Billing Requested............. 7. 8. Total Gross Assets (total Lines 1-7)....................................................................... 8. 9. Funeral Expenses & Administrative Costs (Schedule H)......................................... 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)................................ 10. 11. Total Deductions (total Lines 9 & 10)...................................................................... 11. 12. Net Value of Estate (Line 8 minus Line 11)............................................................. 12. 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J)................................................. 13. 14. Net Value Subject to Tax (Line 12 minus Line 13)................................................. 14. TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, of transfers under Sec. 9116 (a)(1.2) X ~ 16. Amount of Line 14 taxable at lineal rate X .045 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 0.00 145,974.51 0.00 0.00 19. Tax DU8..................................................................................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 L lSOSbO...21...e Decedenfs Social Security Number 186122635 155,737.97 155,737.97 6,959.47 2,803.99 9,763.46 145,974.51 145,974.51 15. 0.00 6,568.85 0.00 0.00 16. 17. 18. 6,568.85 D lSOSbO...21...e --.J REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME Virginia A. Dripps STREET ADDRESS 210 Todd Circle File Number 21-07-0759 Carlisle I STATE PA IZIP 17013 CITY Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 6,568.85 6,200.00 345.72 3. InterestlPenalty if applicable D. Interest E. Penalty Total Credits (A + B + C) (2) 6,545.72 TotallnterestlPenalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (3) (4) (5) 23.13 (SA) (5B) 23.13 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.................................................................................. D ~ b. retain the right to designate who shall use the property transferred or its income;.................................... D ~ c. retain a reversionary interest; or.................................................................................................................. D ~ d. receive the promise for life of either payments, benefits or care?.............................................................. D ~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.................................. ........................................................ ............................ D ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... D ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ..... ................................ .................. ............................................................... D ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. S9116 (a) (1.1) (i)). For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. S9116 (a) (1.1) (Ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. S9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedenfs lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. S9116 1.2) [72 P.S. S9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedenfs siblings is twelve (12) percent [72 P.S. S9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev.1508 EX+ (6-98) . 8CHIIDULIIII CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COM\!ONWEALTH OF PENNS'IlVANIA INHERITANCE TAX RETURN RESIlENT DECEDENT ESTATE OF Dripps, Virginia A. FILE NUMBER 21-07-0759 Include the proceeds of Ill1gation and the date the proceeds were received by the estate. All property jolntly-owned with the right of survivorship nalst be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Capital Blue Cross - Refund of Overpayment 136.40 2 Embarq - Refund of overpayment 57.38 3 PPL Electric Utilities Corp - Refund for overpayment 18.08 4 Sarah A Todd Memorial Home - Refund of Security Deposit 1,415.53 5 USAA - Refund of Insurance 594.48 6 M & T Bank - Savings Account #15004215954030 142,412.39 7 M & T Bank - Checking Account #2671052120 3,846.92 8 M & T Bank - Savings Account #25004920036694 360.37 9 M & T Bank - Savings Account #15004201450365 5,396.42 10 1994 Buick LeSabre - 95,000 Miles 1,500.00 TOTAL (Also enter on Line 5, Recapitulation) 155,737.97 (If more space is needed. additional pages oflhe same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule E (Rev. 6-98) REV.1151 EX+ (12-891 . 8CHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Dripps, Virginia A. Debts of decedent must be reported on Schedule I. FILE NUMBER 21-07-0759 ESTATE OF ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT See continuation schedule(s) attached 1,620.47 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City Year(s) Commission paid State _ Zip 2. Attorney's Fees Said is, Flower & Lindsay 5,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Zip 4. Probate Fees 339.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs TOTAL (Also enter on line 9, Recapitulation) 6,959.47 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev.1502 EX+ (H8) . 8CH.DUL. H-A FUNERAL EXPENSES continued COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIlENT DECEDENT ESTATE OF Dripps, Virginia A. FILE NUMBER 21-07-0759 ITEM NUMBER DESCRIPTION AMOUNT 1 Sandra Gurreri . Reimbursement for funeral expenses 250.00 2 Sandra Gurreri . Reimbursement of Funeral Charges and Funeral Luncheon 878.86 3 Sandra Gurreri . Reimbursement for obitiary advertisement 227.00 4 Second Presbyterian Church. Reimbursement for food after funeral 264.61 Subtotal 1.620.47 Copyright (c) 2002 form software only The Lackner Group. Inc. Form PA-1500 Schedule H-A (Rev. 6-98) Rev.1512 EX+ (8-98) . 8CHI!DULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEAlTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Dripps, Virginia A. FILE NUMBER 21-07-0759 Include unrelmbu,...d medical expenses. ITEM NUMBER DESCRIPTION 1 AT&T Mobility - Telephone Bill VALUE AT DATE OF DEATH 39.29 2 cm Cards - Payoff cm Bank Charge Card 135.33 3 Embarq - Payoff Account 717-243-3453-219 111.41 4 Jones Plumbing, Inc. - Repairs to 107 Susan Lane 191.72 5 Retail Services - Payoff Bon-Ton Charge 51.40 6 Sarah A. Todd Memorial Home 2,084.04 7 The Clock Doctor - Repair tall case clock-Todd Home 190.80 TOTAL (Also enter on Line 10, Recapitulation) 2,803.99 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group. Inc. Form PA-1500 Schedule I (Rev. 6-98) REV.1513 EX+ (...) ESTATE OF NUMBER I. 1 2 3 4 5 . BeNI!DULI! .. BENEFICIARIES FILE NUMBER 21"()7 "()759 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) 1,000.00 1,000.00 One-third (1/3) of the Residue. 46,324.84 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Dripps, Virginia A. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS pnclude outright spousal <listributions and transfers under Sec. 9116(a)(1.2)] RELATIONSHIP TO DECEDENT Do Not List Trusteelsl One-third (1/3) of the Residue. 46,324.83 Anders P. Apgar Dr. 23620 Cornerstone Lane Damascus, MD 20872 Grandson 1,000.00 See continuation schedule attached Continuation 50,324.84 Total 145,974.51 Enter dollar amounts for distributions shown above on lines 5 through 18, as approp ate, on Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE Carl L. Apgar, III 9836 Moyer Road Damascus, MD 20872 Grandson TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Margaret E. Apgar 398 Buch Avenue Lancaster, PA 17601 Daughter Barbara L. deCoen 208 Green Lane Drive Camp Hill, PA 17011 Daughter Catherine L. deCoen 208 Green Lane Drive Camp Hill, PA 17011 Granddaughter B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS Copyright (c) 2002 fonn software only The Lackner Group, Inc. 0.00 Fonn PA-1500 Schedule J (Rev. 6-98) 8CHEDULE .. BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Virginia A. Dripps 186-12-2635 08/02/2007 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 6 Daniel M. deCoen Grandson 1,000.00 208 Green Lane Drive Camp Hill, PA 17011 7 Elizabeth M. deCoen Granddaughter 1,000.00 208 Green Lane Drive Camp Hill, PA 17011 8 Amy Gurreri Granddaughter 1,000.00 2468 Cope Drive South Mechanicsburg, PA 17055 9 Christopher Gurreri Grandson 1,000.00 2468 Cope Drive South Mechanlcsburg, PA 17055 10 Sandra D. Gurreri Daughter One-third (1/3) of the 46,324.84 2468 Cope Drive South Residue Mechanicsburg, PA 17055 Total 50,324.84 1 ._-_._-~--._- LAST WILL AND TESTAMENT OF VIRGINIA A. DRIPPS I, VIRGINIA A. DRIPPS, of North Middt~~1WJ~bQn~~1~ l~mailing address: 107 Susan Lane, Carlisle, Pennsylvania 17013), Cumberland County, Pennsylvania, being of sound and disposin~'Uifl::rnf, memory and understanding, do hereby make, publish and declHIf;,lfJff$~Oi.$1Tand for my Last Will and Testament, hereby revoking and m"-'kIhing' v,dic'i"a,Ify and all Wills by me at any time heretofore made. 1. I direct my hereinafter named Executor or Executrices to pay all of my just debts and all Federal and State death taxes including Estate Taxes and Transfer Inheritance Taxes and similar taxes from my gross estate, whether or not the property on which such taxes are based constitutes an a~set passing under this Will or passing other- wise, including any interest or penalty imposed in connection with such taxes, as soon after my death as may be found convenient to do so. I have heretofore directed that my body be given to Hershey Medical Center for medical science purposes but should it not be accepted than I direct my Executor or Executrices to make an appro- priate disposition of it in whatever manner they may deem best. 2. All of the rest, residue and remainder of my Estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my husband, Franklin M. Dripps, his heirs and assigns, to the exclusion of my children, born and unborn, provided my said husband shall survive me by a period of ninety (90) days. 3. Should my said husband, Franklin M. Dripps, pre-decease me or fail to survive me by the aforesaid period of ninety (90) days, then in such event all of the rest, residue and remainder of my Estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath as follows: a. All items of personal property which may have been given to me by any of my hereinafter named three (3) daughters shall be re~ turned to that daughter. b. The balance thereof I give, devise and bequeath in equal shares to such of my three (3) daughters as shall survive me by a period of ninety (90) days, per stirpes, but should any of my three (3) daughters fail to so survive me then the share such daughter would have received shall pass to such of her issue as shall survive me by a period of ninety (90) days, per stirpes, and if there be no such issue then the same ~hall lapse and be added to the shares of my other daughters. My three (3) daughters are Margaret E. Apgar, wife of William Apgar; Bqrbara L. deCoen, wife of Marc deCoen; and Sandra L. Dripps, who con~inues to use her maiden name but who is the wife of Vincent Gurreri. 4. I hereby nominate, constitute and appoint my said husband, Franklin M. Dripp~, as Executor of this my Last Will and Testament but should he pre-d~cease me or fail to qualify, then in such event I nominate, consti~ute and appoint my said three (3) daughters, or any of them, they being Margaret E. Apgar, Barbara L. deCoen, and Sandra L. Dripps, as co~Executrices of this my Last Will and Testament and I further direct th~t .non~ of them shall be required to post any bond to secure the faitqful performance of his or her duties in the Common- wealth of Pennsylvania or in any other jurisdiction. 5. In add~tion to any other powers which may be conferred by law, I specifically authorize my Executor or Executrices to s~ll any real or personal property which may constitute an asset of my~Estate, or any interest tl:)erein, at public or private sale on such te,!:'ms and conditions as to ~im, her or to them may seem best. IN WITNESS WqEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on one (1) page this 18th da, of January , 198.5. ~.. . -"-~ Virg nia A. ff.~ Dripps (SEAL) ~'---"'-", ~. "'-""""'~----_._."", . '-. ,_."........-.~->~_..........__,,.~_~_.._u.. __~_..~.. "._ "n'" Signed, sealed, published and declared by VIRGINIA A. DRIPPS, the Testatrix above named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~k:Z;' iArr ~ i .., - ...---- )-/ f" 6.3 2007 AUG 10 Pli 12: 15 l-~' ~ ; ~C~. ~ ~ .r>~- . ORPH,L',~r~ ('t'Jl I-.-r ,--- -, ~-z;>- . L- 0 .eCI iil;;g~-' Lt':' <J,r<ff',.,j' .' n , . .~:.'! t1), p-vp .~c.-i:i-' d~ f. ))~~~.'- i ! i /'l ~ [ , ~. --cf. O--rr:! --D.-. ~ p ar~ --1J~ ;#7. ~.~ ~. d:~ cLo-.~ ~~ pl. c!z-.~ f2~~o_ ~ . C~~ JL~~.)~ ~F /'7?'-Cri ~ ~ ~ ~~Ul'''_ ~ ~ ~~~:r~ ft--Z1 /p'- t- r?~. ;l- ~ ~ A- c;..........J ~_ j) /J__~~c::Lc -~-ny ~~~iAk~~ ~~,~~ (SZ-rL~ e, "t-- /~..;~. / ' U . I~) . 3- />77 (f ~ct~ J-,J .' l' ,- ) ~. ,~/I.---~ ~ ~. j.~ j-a::::L ~ {;(~ .~~ J'-€-~~ ~. ~~,Y~~ {r~ ~ ~ J J-r,~ ~ >-~ .~ --P~ ~~.r2-e- c---J ~ 4tL^-d~ C~~ rr-~~ ~; ~~~/J~-=-- ~tC~~h ~'-,LO<'-"I''''' J ~~.])=--"p_O--r ~ I r-D~~~~-~ ' i ~~~~~~c--I-l I' ~~_ ~ c:1!.A~ ~ ,,~~ ~- <1- ~~:-~I,'7:(~I>-.~.e ~ I ~:~~~-~ I( ,( r< -~ .~c:-L~n~~ ~~..~f1.)~:~ ,/"-0 ~~~. C-.~ ~.~ ~~~#~~ ~ ~~e-L-~~~ J; t S' ~~~~I A-~~~"'-d ~~ ~~.-tfL"1 I ?;L. :/~L--~~;.o (-d.:C~c-..e.'+~ . I ~cL' J/~ S.~ I 7-1 P-*f'3 I 9800 Fredericksburg Road San Antonio, Texas 78288 Visit us at usaa.com Statement NE-1 8878 82 220 USAA C NUMBER D 00770 45 83 9 .lAI USAA. 82 220 EST OF VIRGINIA S DRIPPS C/O SANDRA L GURRERI 2805 W ROSEGARDEN BLVD MECHANICSBURG PA 17055-5314 TO UPDATE POLICIES GO TO USAA.COM OR CALL 1-800-531-8111 FOR BILLING AND PAYMENT INQUIRIES GO TO USAA.CQM OR CALL 1-800-531-8095 TO REPORT A CLAIM. CALL 1-800-531-8222 MONTHLY ACTIVITY BALANCE ON LAST STATEMENT SUBSCRIBER SAVINGS ACCOUNT REFUND ISSUED ACCOUNT BALANCE AS OF 10-15-07 $ 00 09-18-07 594 48CR 10-15-07 594 48 $ 00 -==-~ TOTALS $ 00 $ 00 $ 00 *** THE REFUND IS BEING TRANSFERRED TO YOUR BANK ACCOUNT *** PAPERS YOU CAN'T LOSE ACCESS YOUR STATEMENTS AND POLICIES ONLINE ANYTIME, ANYWHERE LOG ON TO USAA COM AND CLICK: DOCUMENTS 'AUG J ,,/, 2007 I! M&fBank 499 Mitchell Street, Millsboro, DE 19966 August 21, 2007 Law Offices Saidis, Flower & Lindsay 26 West High Street Carlisle, PA 17013 RE: Estate of Virginia Dripps Date of Death: August 2, 2007 Social Security Number: 186-12-2635 Dear Mr. Douglas: In response to your request, please be advised that at the time of death, the above- named decedent had on deposit with this bank the following accounts. 1. Account Type.. ... .... .. ... . ... .. . ... ... Checking Account Account Number. ............ ...... .... 2671052120 Ownership {Names of)............... Virginia Dripps Opening Date................... ....... .10/31/87 Balance on Date of Death........ .$3,846.92 Accrued Interest $ 0.00 Total........... .................... .... ....$3,846.92 2. Account Type........................... Savings Account Account Number.............. ......... 15004201450365 Ownership (Names oj).............. Virginia Dripps Opening Date...........................06/25/99 (account closed 08/13/07) Balance on Date ofDeath.........$5,395.79 Accn.led Interest $ 0.63 Total..................................... ..$5,396.42 . Page 2 August 21 , 2007 3. Account Type........................... Savings Account Account Number....................... 15004215954030 Ownership {Names oj}.............. Virginia Dripps Opening Date.......................... .07/27/07 Balance on Date ofDeath.........$142,412.39 Accrued Interest $ 58.53 Total................................... ....$142,470.92 4. Account Type.............. .......... ... Savings Account Account Number....................... 25004920036694 Ownership {Names oj}.............. Virginia Dripps Opening Date....... ...... .... ..........11/28/88 Balance on Date ofDeath.........$360.29 Accrued Interest $ 0.08 Total................................... ....$360.37 The above named decedent did not have a safe deposit box. * If upon reviewing the information above, you believe there are additional accounts not referenced, please provide us with an account number andlor the name of any possible joint account holder. For any additional information on the above accounts, including ownership and any changes, closures andlor reimbursement of funds, please contact our North Middleton branch at 1958 Spring Road, Carlisle, PA 17013, or # 717-240- 4521. Sbacerely, , ~~ Charlene Warrington, Records Management 1-888-502-4349 . Kelley Blue Book - Private P? '-, Pricing Report - Buick, LeSabre Page 1 of3 .leIley II. Boak .. . .... THE nUSTEDIESOUICE. . . ..... 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This vehicle has never had any paint or body work and is free of rust. The vehicle has a clean title history and will pass a smog and safety inspection. The engine compartment is clean, with no fluid leaks and Is free of any wear or visible defects. The vehicle also has complete and verifiable service records. Less than 5% of ali used vehicles fali into this category. Good ar.:xxz.l $1,945 "Good" condition means that the vehicle is free of any major defects. This vehicle has a clean title history, the paint, body and Interior have only minor (if any) blemishes, and there are no major mechanical problems. There should be little or no rust on this vehicle. The tires match and have substantial tread wear left. A "good" vehicle will need some reconditioning to be sold at retali. Most consumer owned vehicles fall Into this category. Fair ~Wl $1,575 "Fair" condition means that the vehicle has some mechanical or cosmetic defects and needs servicing but Is stili in reasonable running condition. This vehicle has a dean title history, the paint, body and/or Interior need work performed by a professional. The tires may need to be replaced. There may be some repairable rust damage. Poor Dt.k:;:::li'..' "Poor" condition means that the vehicle has severe mechanical and/or cosmetic defects and Is in poor running condition. The vehlde may have problems that cannot be readily fixed such as a damaged frame or a rusted-through body. A vehicle with a branded title (salvage, flood, etc.) or unsubstantiated mileage is considered "poor." A vehicle in poor condition may require an Independent appraisal to determine Its value. Kelley Blue Book does not attempt to report a L.LJ,..__. 11_______ 1_1_ L - - .__ ITTnn IT T __ ..lr"'__._In__': _-=__ _n ___ _...... _ _____()~ K ___n~_ _.L-__.__.T 03_"'70_ 'T ___aT ..3_1 nn N/A Page 2 of3 Ii Estim. $ 39 Imo ( ClfCkf Gel a Pre-O APR Your Credit Get a Free I 0/1 "'/"'iV'''' . Kelley Blue Book - Private P -.ty Pricing Report - Buick, LeSabre value on a "poor" vehicle because the value of cars In this category varies greatly. · Pennsylvania 8/17/2007 Accurate Condition Appraisal Change Condition Accurately appraising the condition of a vehicle Is an Important aspect In determining Its Blue Book value. Taking our 16 question condition quiz will ensure you know the correct condition rating. NEXT STEPS: Search Local Listings Sell Your Sedan @ 2007 Kelley Blue Book Co., Inc. All rights reserved. Sep-Dec 2007 Edition. The specific information required to determine the value for this particular vehicle was supplied by the person generating this report. Vehlde valuations are opinions and may vary from vehlde to vehicle. Actual valuations will vary based upon market conditions, spedflcatJons, vehlde condition or other particular circumstances pertinent to this particular vehlde or the transaction or the parties to the transaction. This report Is Intended for the individual use of the person generating this report only and shall not be sold or transmitted to another partY. Kelley Blue Book assumes no responsibility for errors or omissions. (v.07090) !!!fiiI Emall This Page Page 3 of3 Media Center Buy the Book RSS_ Advertising About Us Careers FAQ Contact Us Site Map Privacy Policy Copyright & Trademarks @ 1995-2007 Kelley Blue Book Co., Inc. ,. T .1. __",., 0_"'(7_ _..T ..3_1 nn 0/1,..., '''Afl''''7